<%@ Page Language="VB" AutoEventWireup="false" CodeFile="Generate.aspx.vb" Inherits="Management_Info_Generate" %>

<%@ Register Assembly="AjaxControlToolkit" Namespace="AjaxControlToolkit" TagPrefix="ajaxtoolkit" %>

<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">

<html xmlns="http://www.w3.org/1999/xhtml" >
<head runat="server">
    <title>Generate Report</title>
    <script type="text/javascript" language="javascript" src="../scripts/dateFunc.js"></script>
</head>
<body>
    <form id="form1" runat="server">
    <table border="0" cellpadding="0" cellspacing="0" width="800">
        <tr><td style="font-size: 3px;height: 5px;">
            <asp:ScriptManager ID="ScriptManager1" runat="server">
            </asp:ScriptManager>
        </td></tr>
    </table>
        
        

    <table border="0" cellpadding="0" cellspacing="0" width="800">
        <tr>
            <td colspan ="9" style="font-size: 11pt; font-family: Arial; height: 40px;">
                &nbsp;
                <asp:Label ID="lblTitle" runat="server" Font-Bold="True" ForeColor="#0C58A2"></asp:Label></td>
        </tr>
        <tr><td style="font-size: 3px; background-color: #105BA4; height: 3px;"></td></tr>
    </table>

    <table border="0" cellpadding="0" cellspacing="0" width="800" >
        <tr><td style="width: 800px">

            <table border="0" cellpadding="0" cellspacing="0" width="800" style="height: 35px">
                <tr>
                    <td style="font-size: 10pt; font-family: Verdana; width: 97px; height: 32px;" align="left">
                        &nbsp;Start Date:</td>
                    <td align="left" style="width: 100px; height: 32px;">
                        <asp:TextBox ID="Startdate_txt" runat="server" Width="80px"></asp:TextBox></td>
                    <td style="font-size: 10pt; font-family: Verdana; width: 100px; height: 32px;" align="left">
                        &nbsp;End Date:</td>
                    <td align="left" style="width: 100px; height: 32px;">
                        <asp:TextBox ID="Enddate_txt" runat="server" Width="80px"></asp:TextBox></td>
                    <td style="font-size: 10pt; font-family: Verdana; width: 400px; height: 32px;" align="left">
                        </td>
                </tr>
            </table>
                
        </td></tr>
        <tr id="trDtl1" runat="server">
            <td style="width: 800px">

                <table border="0" cellpadding="0" cellspacing="0" width="800" style="height: 35px">
                    <tr>
                        <td style="font-size: 10pt; font-family: Verdana; width: 96px; height: 32px;" align="left">
                            &nbsp;Client Name:
                        </td>
                        <td align="left" style="width: 285px; height: 32px;">
                            <asp:TextBox ID="Client_txt" runat="server" Width="280px" Font-Names="Verdana"></asp:TextBox></td>
                        <td style="font-size: 10pt; font-family: Verdana; width: 105px; height: 32px;" align="left">
                            &nbsp;Policy Number:</td>
                        <td align="left" style="width: 300px; height: 32px;">
                            <asp:TextBox ID="Policynumber_txt" runat="server" Width="152px"></asp:TextBox></td>
                    </tr>
                </table>
                    
            </td>
        </tr>
        
        <tr id="trDtl2" runat="server">
            <td style="width: 800px">

                <table border="0" cellpadding="0" cellspacing="0" width="800" style="height: 35px">
                    <tr>
                        <td style="font-size: 10pt; font-family: Verdana; width: 96px;" align="left">
                            &nbsp;Provider: &nbsp;</td>
                        <td align="left" style="width: 285px">
                            <asp:TextBox ID="Provider_txt" runat="server" Width="280px"></asp:TextBox></td>
                        <td style="font-size: 10pt; font-family: Verdana; width: 105px;" align="left">
                            &nbsp;Product:&nbsp;</td>
                        <td align="left" style="width: 300px">
                            <asp:TextBox ID="Product_txt" runat="server" Width="296px"></asp:TextBox></td>
                    </tr>
                </table>
                
            </td>
        </tr>
        
        <tr>
            <td id="tdStatus" runat="server" style="width: 800px">

                <table border="0" cellpadding="0" cellspacing="0" width="800" style="height: 35px">
                    <tr>
                        <td style="font-size: 10pt; font-family: Verdana; width: 96px;" align="left">
                            &nbsp;Status: &nbsp;</td>
                        <td align="left" style="width: 285px">
                            <asp:DropDownList ID="Status_cmb" runat="server" Width="288px">
                            </asp:DropDownList></td>
                        <td style="font-size: 10pt; font-family: Verdana; width: 105px;" align="left">
                            </td>
                        <td align="left" style="width: 300px">
                            </td>
                    </tr>
                </table>
                
            </td>
        </tr>

        <tr>
            <td style="width: 800px">

            <table border="0" cellpadding="0" cellspacing="0" width="800" style="height: 35px">
                <tr>
                    <td style="width: 400px; height: 24px;">
                        &nbsp;<asp:CustomValidator ID="dtv1" runat="server" ClientValidationFunction="valDate"
                            ControlToValidate="Startdate_txt" ErrorMessage="Invalid Start Date" ForeColor="White">.</asp:CustomValidator>
                        <asp:CustomValidator
                                ID="dtv4" runat="server" ClientValidationFunction="valDate" ControlToValidate="Enddate_txt"
                                ErrorMessage="Invalid End Date" ForeColor="White">.</asp:CustomValidator>
                        <asp:ValidationSummary ID="ValidationSummary1" runat="server" ShowMessageBox="True"
                            ShowSummary="False" />
                    </td>
                    <td style="height: 24px; width: 77px;">
                        &nbsp;</td>
                    <td style="width: 59px; height: 24px;"></td>
                    <td style="height: 24px; width: 80px;">
                        &nbsp;</td>
                    <td style="height: 24px">
                        <asp:Button ID="Save_btn" runat="server" Text="Generate" BackColor="Gainsboro" Font-Names="Verdana" Width="112px" />
                    </td>
                </tr>
            </table>
                
            </td>
        </tr>

        </table>
    <ajaxtoolkit:maskededitextender id="MaskedEditExtender1" runat="server" mask="99/99/9999"
            masktype="Date" targetcontrolid="Enddate_txt">
    </ajaxtoolkit:maskededitextender>
        <ajaxtoolkit:maskededitextender id="MaskedEditExtender2" runat="server" mask="99/99/9999"
            masktype="Date" targetcontrolid="Startdate_txt">
    </ajaxtoolkit:maskededitextender>
        <ajaxtoolkit:validatorcalloutextender id="ValidatorCalloutExtender1" runat="server"
            targetcontrolid="dtv1">
    </ajaxtoolkit:validatorcalloutextender>
        <ajaxtoolkit:validatorcalloutextender id="ValidatorCalloutExtender2" runat="server"
            targetcontrolid="dtv4">
    </ajaxtoolkit:validatorcalloutextender>
    </form>
</body>
</html>
